Level: Clinical
Difficulty: Medium
Subtopic: Screening programs
NCLEX: The home health nurse during an initial home visit is being evaluated for community health nursing and screening…
Community / public health nursing Health Promotion and Maintenance
Case Study
The home health nurse during an initial home visit is being evaluated for community health nursing and screening programs. Assessment data include a client with active tuberculosis missed two public health appointments. Which finding requires the nurse to intervene immediately?
Question
A. A stable, long-standing finding that matches the expected care plan.
B. A comfort request with unchanged vital signs and no new symptoms.
C. The new finding that a client with active tuberculosis missed two public health appointments.
D. Routine data unchanged from the prior assessment.
B. A comfort request with unchanged vital signs and no new symptoms.
C. The new finding that a client with active tuberculosis missed two public health appointments.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: C. The new finding that a client with active tuberculosis missed two public health appointments.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.